I am learning peripheral angiography and am finding it to be a great challenge. If anyone can help me to navigate through one of my docs I would appreciate any assistance.
"After an overnight fast..pt brought to cath lab. Patient was prepped and draped...
A 5 French sheath was then introduced utilizing modified Seldinger technique into the right femoral artery. Abdominal aorta and bilateral iliac angiography was performed using an omniflush catheter. An angled wire was advanced into the contralateral iliac artery utilizing a catheter over the aortic horn and an internal mammary catheter was placed selectively in the contralateral external iliac artery. Selective Angiography of the left lower extremity was performed. Selective angiography of the right lower extremity was performed via the right femoral arterial sheath. An intervention was performed to the left SFA and the left external iliac as described after a sheath exchange was done.
PCI to lesion within the proximal left external iliac artery. Stenosis was successfully reduced. Balloon expandable stent.
PCI to lesion within the ostial left superficial femoral artery. Stenosis was successfully reduced. Cutting balloon angioplasty.
PCI to lesion within the mid to distal left superficial femoral artery. Stenosis successfully reduced. Self expanding stent.
The codes I came up with are 75630-26,36200,75716-26,36246,37226,37221. After trying to find the bundling relationships within them; I think 37226,75630-26 may be appropriate.
I am trying to get a clearer picture on how to read the report if anyone can be of assistance to help me pull out the pertinent information I would be grateful.
"After an overnight fast..pt brought to cath lab. Patient was prepped and draped...
A 5 French sheath was then introduced utilizing modified Seldinger technique into the right femoral artery. Abdominal aorta and bilateral iliac angiography was performed using an omniflush catheter. An angled wire was advanced into the contralateral iliac artery utilizing a catheter over the aortic horn and an internal mammary catheter was placed selectively in the contralateral external iliac artery. Selective Angiography of the left lower extremity was performed. Selective angiography of the right lower extremity was performed via the right femoral arterial sheath. An intervention was performed to the left SFA and the left external iliac as described after a sheath exchange was done.
PCI to lesion within the proximal left external iliac artery. Stenosis was successfully reduced. Balloon expandable stent.
PCI to lesion within the ostial left superficial femoral artery. Stenosis was successfully reduced. Cutting balloon angioplasty.
PCI to lesion within the mid to distal left superficial femoral artery. Stenosis successfully reduced. Self expanding stent.
The codes I came up with are 75630-26,36200,75716-26,36246,37226,37221. After trying to find the bundling relationships within them; I think 37226,75630-26 may be appropriate.
I am trying to get a clearer picture on how to read the report if anyone can be of assistance to help me pull out the pertinent information I would be grateful.